subject_line
Use this form to request DFY Fuflillment for your AdaComply 2.0 Customer
Please complete form in it's entirety before submitting. Incomplete order forms will not be processed. If you have any questions prior to submission please open a ticket at
www.GetSupport.biz
.
Your First Name
*
Your Last Name
*
Your registered AdaComply 2.0 Email address
*
Confirm your log in ID
*
Name your Campaign
*
Your Customer's Name
*
Customer's Website URL
*
Customers Wordpress Admin User ID
*
Admin Password
*
Your customer has given you permission to edit their header code, which may include the installation of a wordpress plug in to manage header and footer code.
*
Yes
No
Widget Color - choose the corresponding number
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Widget Position
*
Top Left
Center Left
Bottom Left
Top Right
Center Right
Bottom Right